BusinessHospital Coding
A SelectSmart.com Flowchart by cpeucker
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Does the patient present to the Emergency Department?
YES
Is patient treated and discharged from the ED?
YES
Use CPT codes 99281-99285
 
 

NO

NO







Is patient admitted to inpatient status?
YES
Is this the initial visit for a clinic provider?
YES
Has another provider asked for your advice or opinion for his/her patient?
YES
Report consultation codes 99251-99255
 

NO


NO



NO



Is patient admitted to observation status?
Report CPT codes 99231 -99233 for subsequent visits
 
Report CPT codes 99221 -99223 for initial visit
 

YES








Was the patient admitted and discharged on the same calendar date?
NO
Is this the initial visit for a clinic provider?
YES
Has another provider asked for your advice or opinion for his/her patient?
YES
Report consultation codes 99241-99245
 

YES



NO


NO



Was the total time admitted greater than 8 hours?
YES
Report CPT codes 99234-99236
Is the visit for discharging the patient?
Report CPT codes 99218-99220
 

NO




YES




Report CPT codes 99218-99220
 
Report CPT code 99217